Provider Demographics
NPI:1811202492
Name:KANAPARTHI, PURNACHANDRA R (BPHARM)
Entity Type:Individual
Prefix:MR
First Name:PURNACHANDRA
Middle Name:R
Last Name:KANAPARTHI
Suffix:
Gender:M
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5085 CAMEO TER
Mailing Address - Street 2:
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-8934
Mailing Address - Country:US
Mailing Address - Phone:410-456-5266
Mailing Address - Fax:
Practice Address - Street 1:6300 YORK RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-2635
Practice Address - Country:US
Practice Address - Phone:410-323-0838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-08
Last Update Date:2010-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist